Ectopic pregnancy

The clinical diagnosis of ectopic pregnancy is well established. Serial human chorionic gonadotropin titers and transvaginal ultrasound have a high detection rate. In addition, serum progesterone levels are an indicator for eligibility to a medical protocol. The treatment is now increasingly conservative, with alternatives to laparoscopic treatments available. An unruptured ectopic pregnancy allows nonsurgical management, but there is an urgent need for better tests to detect tubal rupture.